Bridging the Gap Between Research and Practice in Mental Health Service Settings: An Overview of Developments in Implementation Theory and Research

Stirman, Shannon Wiltsey; Gutner, Cassidy A.; Langdon, Kirsten; Graham, Jessica R.

doi:10.1016/j.beth.2015.12.001

Cited by 103Health Policy Implementation SciencePsychotherapy Techniques and ApplicationsHealth Sciences Research and Education

Bridging the Gap Between Research and Practice in Mental Health Service Settings: An Overview of Developments in Implementation Theory and Research

Stirman, Shannon Wiltsey, Gutner, Cassidy A., Langdon, Kirsten, Graham, Jessica R.·2016·Behavior Therapy

DOI 10.1016/j.beth.2015.12.001

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Abstract

Twenty years after Sobell's (1996) influential call to integrate advances in behavior therapy into clinical settings, significant progress has been made in implementation science. In this narrative review, we provide an overview of implementation research findings and highlight recent findings that can inform efforts to bridge the gap between research and practice in mental health service settings. Key findings are summarized, organized according to levels of influence described in two implementation frameworks: The Exploration, Planning, Implementation, and Sustainment Framework (EPIS; Aarons et al., 2011) and the Consolidated Framework for Implementation Research (CFIR; Damschroder et al., 2009). Important levels of influence to consider when implementing new treatments include the outer context, inner context, characteristics of the individual, and characteristics of the innovation. Research on strategies to prepare clinicians to deliver evidence-based psychosocial treatments (EBPTs) and to address contextual barriers to implementation at each level is described, with discussion of implications for the implementation of EBPTs and next steps for research.

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The adaptation-fidelity tension is a critical component of scaling-out and is addressed head on in more dynamic models of implementation process.
“This “adaptation-fidelity” tension is a critical component of scaling-out in that it is addressed head on as proposed in more dynamic models of implementation process [60–62].”
From “Scaling-out” evidence-based interventions to new populations or new health care delivery systems (2017) · cites this paper as [60]
Adaptations to accommodate an EBI are likely to be needed at the service system or organization levels, and often to the EBI itself.
“However, adaptations to accommodate an EBI are likely to be needed at the service system or organization levels, and often to the EBI itself [47, 60].”
From “Scaling-out” evidence-based interventions to new populations or new health care delivery systems (2017) · cites this paper as [60]

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Long-Term Youth Criminal Outcomes in MST Transport: The Impact of Therapist Adherence and Organizational Climate and Structure
Schoenwald, S. K., Chapman, J. E., Sheidow, A. J., & Carter, R. E. (2009) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374410802575388 · Cited by 88 · see citing works
The Perfect Storm: Collision of the Business of Mental Health and the Implementation of Evidence-Based Practices
Stewart, R. E., Adams, D. R., Mandell, D. S., Hadley, T. R., Evans, A. C., Rubin, R. M., Erney, J., Neimark, G. B., Hurford, M. O., & Beidas, R. S. (2015) · Psychiatric Services · doi:10.1176/appi.ps.201500392 · Cited by 86 · see citing works
VA residential provider perceptions of dissuading factors to the use of two evidence-based PTSD treatments.
Cook, J. M., Dinnen, S., Simiola, V., Thompson, R., & Schnurr, P. P. (2014) · Professional Psychology Research and Practice · doi:10.1037/a0036183 · Cited by 86 · see citing works
Using the collaborative intervention planning framework to adapt a health-care manager intervention to a new population and provider group to improve the health of people with serious mental illness
Cabassa, L. J., Gomes, A. P., Meyreles, Q., Capitelli, L., Younge, R. G., Dragatsi, D., Alvarez, J., Manrique, Y., & Lewis‐Fernández, R. (2014) · Implementation Science · doi:10.1186/s13012-014-0178-9 · Cited by 82 · see citing works
Perceived Characteristics of Intervention Scale
Cook, J. M., Thompson, R., & Schnurr, P. P. (2014) · Assessment · doi:10.1177/1073191114561254 · Cited by 80 · see citing works
Improving public addiction treatment through performance contracting: The Delaware experiment
McLellan, A. T., Kemp, J., Brooks, A. C., & Carise, D. (2008) · Health Policy · doi:10.1016/j.healthpol.2008.01.010 · Cited by 77 · see citing works
The gap between science and practice: how therapists make their clinical decisions
Gyani, A., Shafran, R., Myles, P., & Rose, S. (2014) · Behavior Therapy · doi:10.1016/j.beth.2013.10.004 · Cited by 73 · see citing works
An evaluation of the effectiveness of diploma-level training in cognitive behaviour therapy.
Mcmanus, F., Westbrook, D., Vazquez-Montes, M., Fennell, M., & Kennerley, H. (2010) · Behaviour Research and Therapy · doi:10.1016/j.brat.2010.08.002 · Cited by 71 · see citing works
Contracting and Procurement for Evidence-Based Interventions in Public-Sector Human Services: A Case Study
Willging, C. E., Aarons, G. A., Trott, E. M., Green, A. E., Finn, N. K., Ehrhart, M. G., & Hecht, D. B. (2015) · Administration and Policy in Mental Health and Mental Health Services Research · doi:10.1007/s10488-015-0681-6 · Cited by 71 · see citing works
Cognitive‐behavioral therapy in the schools: Bringing research to practice through effective implementation
Forman, S. G., & Barakat, N. M. (2011) · Psychology in the Schools · doi:10.1002/pits.20547 · Cited by 70 · see citing works
“Old Dogs” and New Skills: How Clinician Characteristics Relate to Motivational Interviewing Skills Before, During, and After Training
Carpenter, K. M., Cheng, W., Smith, J. L., Brooks, A. C., Amrhein, P. C., Wain, R., & Nunes, E. (2012) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0028362 · Cited by 69 · see citing works
Assessing and Changing Organizational Social Contexts for Effective Mental Health Services
Glisson, C. A., & Williams, N. J. (2015) · Annual Review of Public Health · doi:10.1146/annurev-publhealth-031914-122435 · Cited by 69 · see citing works
The Adoption and Implementation of an Evidence Based Practice in Child and Family Mental Health Services Organizations: A Pilot Study of Functional Family Therapy in New York State
Zazzali, J. L., Sherbourne, C. D., Hoagwood, K., Greene, D., Bigley, M. F., & Sexton, T. L. (2007) · Administration and Policy in Mental Health and Mental Health Services Research · doi:10.1007/s10488-007-0145-8 · Cited by 68 · see citing works
Beyond the Label: Relationship Between Community Therapists’ Self-Report of a Cognitive Behavioral Therapy Orientation and Observed Skills
Creed, T. A., Wolk, C. B., Feinberg, B. E., Evans, A. C., & Beck, A. T. (2014) · Administration and Policy in Mental Health and Mental Health Services Research · doi:10.1007/s10488-014-0618-5 · Cited by 68 · see citing works
Changes in Implementation of Two Evidence‐Based Psychotherapies for PTSD in VA Residential Treatment Programs: A National Investigation
Cook, J. M., Dinnen, S., Thompson, R., Simiola, V., & Schnurr, P. P. (2014) · Journal of Traumatic Stress · doi:10.1002/jts.21902 · Cited by 67 · see citing works
Interesting practitioners in training in empirically supported treatments: research reviews versus case studies
Stewart, R. E., & Chambless, D. L. (2009) · Journal of Clinical Psychology · doi:10.1002/jclp.20630 · Cited by 66 · see citing works
From a “Perfect Storm” to “Smooth Sailing”: Policymaker Perspectives on Implementation and Sustainment of an Evidence-Based Practice in Two States
Willging, C. E., Green, A. E., Gunderson, L., Chaffin, M., & Aarons, G. A. (2015) · Child Maltreatment · doi:10.1177/1077559514547384 · Cited by 66 · see citing works
Effects of workshop trainings on evidence-based practice knowledge and attitudes among youth community mental health providers.
Lim, A., Nakamura, B. J., Higa-McMillan, C., Shimabukuro, S., & Slavin, L. A. (2012) · Behaviour Research and Therapy · doi:10.1016/j.brat.2012.03.008 · Cited by 65 · see citing works
Online Cognitive Behavioural Therapy Training for Therapists: Outcomes, Acceptability, and Impact of Support
Bennett–Levy, J., Hawkins, R. M. F., Perry, H., Cromarty, P., & Mills, J. (2012) · Australian Psychologist · doi:10.1111/j.1742-9544.2012.00089.x · Cited by 64 · see citing works
Using Pay for Performance to Improve Treatment Implementation for Adolescent Substance Use Disorders
Garner, B. R., Godley, S. H., Dennis, M. L., Hunter, B. D., Bair, C. M. L., & Godley, M. D. (2012) · Archives of Pediatrics and Adolescent Medicine · doi:10.1001/archpediatrics.2012.802 · Cited by 64 · see citing works
Therapists’ Perspectives on the Effective Elements of Consultation Following Training
Beidas, R., Edmunds, J. M., Cannuscio, C., Gallagher, M., Downey, M. M., & Kendall, P. (2013) · Administration and Policy in Mental Health and Mental Health Services Research · doi:10.1007/s10488-013-0475-7 · Cited by 63 · see citing works
Investigating Bang for Your Training Buck: A Randomized Controlled Trial Comparing Three Methods of Training Clinicians in Two Core Strategies of Dialectical Behavior Therapy
Dimeff, L. A., Harned, M. S., Woodcock, E. A., Skutch, J. M., Koerner, K., & Linehan, M. M. (2015) · Behavior Therapy · doi:10.1016/j.beth.2015.01.001 · Cited by 62 · see citing works
Direct-to-consumer marketing of psychological treatments for anxiety disorders
Gallo, K. P., Comer, J. S., & Barlow, D. H. (2013) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2013.03.005 · Cited by 59 · see citing works
Implementation of AF-CBT by Community Practitioners Serving Child Welfare and Mental Health
Kolko, D., Baumann, B. L., Herschell, A., Hart, J., Holden, E. A., & Wisniewski, S. (2012) · Child Maltreatment · doi:10.1177/1077559511427346 · Cited by 58 · see citing works
Leadership, Organizational Climate, and Perceived Burden of Evidence-Based Practice in Mental Health Services
Brimhall, K. C., Fenwick, K. M., Farahnak, L. R., Hurlburt, M. S., Roesch, S. C., & Aarons, G. A. (2015) · Administration and Policy in Mental Health and Mental Health Services Research · doi:10.1007/s10488-015-0670-9 · Cited by 55 · see citing works
Reducing eating disorder risk factors: A controlled investigation of a blended task-shifting/train-the-trainer approach to dissemination and implementation
Kilpela, L. S., Hill, K. A., Kelly, M. C., Elmquist, J., Ottoson, P. E., Keith, D., Hildebrandt, T., & Becker, C. B. (2014) · Behaviour Research and Therapy · doi:10.1016/j.brat.2014.09.005 · Cited by 53 · see citing works
Adaptation happens: a qualitative case study of implementation of The Incredible Years evidence‐based parent training programme in a residential substance abuse treatment programme
Aarons, G. A., Miller, E. A., Green, A. E., Perrott, J. A., & Bradway, R. (2012) · Journal of Children's Services · doi:10.1108/17466661211286463 · Cited by 51 · see citing works
Is Openness to Using Empirically Supported Treatments Related to Organizational Culture and Climate?
Patterson, D. A., Dulmus, C. N., & Maguin, E. (2013) · Journal of Social Service Research · doi:10.1080/01488376.2013.804023 · Cited by 49 · see citing works
An Examination of Behavioral Rehearsal During Consultation as a Predictor of Training Outcomes
Edmunds, J. M., Kendall, P., Ringle, V. A., Read, K. L., Brodman, D. M., Pimentel, S. S., & Beidas, R. (2013) · Administration and Policy in Mental Health and Mental Health Services Research · doi:10.1007/s10488-013-0490-8 · Cited by 47 · see citing works
Comparing Client Outcomes for Two Evidence-Based Treatment Consultation Strategies
Funderburk, B. W., Chaffin, M. J., Bard, E. A., Shanley, J. R., Bard, D., & Berliner, L. (2014) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2014.910790 · Cited by 47 · see citing works
Statewide dissemination of an evidence-based practice using Breakthrough Series Collaboratives
Lang, J. M., Franks, R. P., Epstein, C., Stover, C. S., & Oliver, J. A. (2015) · Children and Youth Services Review · doi:10.1016/j.childyouth.2015.06.005 · Cited by 46 · see citing works
Implementation of Evidence-Based Practices for Treatment of Alcohol and Drug Disorders: The Role of the State Authority
Rieckmann, T. R., Kovas, A. E., Fussell, H. E., & Stettler, N. M. (2008) · The Journal of Behavioral Health Services & Research · doi:10.1007/s11414-008-9122-6 · Cited by 44 · see citing works
Invisible wounds, visible savings? Using microsimulation to estimate the costs and savings associated with providing evidence-based treatment for PTSD and depression to veterans of Operation Enduring Freedom and Operation Iraqi Freedom.
Kilmer, B., Eibner, C., Ringel, J. S., & Pacula, R. L. (2011) · Psychological Trauma Theory Research Practice and Policy · doi:10.1037/a0020592 · Cited by 43 · see citing works
Effectiveness of Cognitive Behavioral Therapy in Public Mental Health: Comparison to Treatment as Usual for Treatment-Resistant Depression
Lopez, M. A., & Basco, M. A. (2015) · Administration and Policy in Mental Health and Mental Health Services Research · doi:10.1007/s10488-014-0546-4 · Cited by 42 · see citing works
Large‐scale implementation of evidence‐based treatments for children 10 years later: Hawaii’s evidence‐based services initiative in children’s mental health.
Nakamura, B. J., Chorpita, B. F., Hirsch, M., Daleiden, E. L., Slavin, L. A., Amundson, M. J., Rocco, S. A. L., Mueller, C. W., Osiecki, S., Southam‐Gerow, M. A., et al. (2011) · Clinical Psychology Science and Practice · doi:10.1111/j.1468-2850.2010.01231.x · Cited by 42 · see citing works
Veteran satisfaction and treatment preferences in response to a posttraumatic stress disorder specialty clinic orientation group
Schumm, J. A., Walter, K. H., Bartone, A. S., & Chard, K. M. (2015) · Behaviour Research and Therapy · doi:10.1016/j.brat.2015.04.006 · Cited by 41 · see citing works
Use of Fidelity Assessments to Train Clinicians in the CBT for PTSD Program for Clients With Serious Mental Illness
Lu, W., Yanos, P. T., Gottlieb, J. D., Marcello, S. C., Silverstein, S. M., Xie, H., Rosenberg, S. D., & Mueser, K. T. (2012) · Psychiatric Services · doi:10.1176/appi.ps.201000458 · Cited by 41 · see citing works
Online self-administered training of PTSD treatment providers in cognitive-behavioral intervention skills: results of a randomized controlled trial.
Ruzek, J., Rosen, R., Garvert, D., Smith, L., Sears, K. C., Marceau, L., Harty, B., & Stoddard, A. (2014) · Journal of Traumatic Stress · doi:10.1002/jts.21977 · Cited by 35 · see citing works
A Non-randomized Comparison of Strategies for Consultation in a Community-Academic Training Program to Implement an Evidence-Based Psychotherapy
Stirman, S., Pontoski, K. E., Creed, T. A., Xhezo, R., Evans, A., Beck, A., & Crits-Christoph, P. (2017) · Administration and Policy in Mental Health and Mental Health Services Research · doi:10.1007/s10488-015-0700-7 · Cited by 35 · see citing works
Self-citation
The effectiveness of clinician feedback in the treatment of depression in the community mental health system.
Gibbons, M. B. C., Kurtz, J. E., Thompson, D. L., Mack, R. A., Lee, J. K., Rothbard, A. B., Eisen, S. V., Gallop, R., & Crits-Christoph, P. F. (2015) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0039302 · Cited by 34 · see citing works
Effects of Workshop Training for Providers Under Mandated Use of an Evidence-Based Practice
Lopez, M. A., Osterberg, L. D., Jensen‐Doss, A., & Rae, W. A. (2010) · Administration and Policy in Mental Health and Mental Health Services Research · doi:10.1007/s10488-010-0326-8 · Cited by 34 · see citing works
Training and retaining staff to competently deliver an evidence-based practice: The role of staff attributes and perceptions of organizational functioning
Garner, B. R., Hunter, B. D., Godley, S. H., & Godley, M. D. (2011) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2011.10.016 · Cited by 34 · see citing works
Psychological Science and Innovative Strategies for Informing Health Care Redesign: A Policy Brief
Asarnow, J. R., Hoagwood, K., Stancin, T., Lochman, J. E., Hughes, J. L., Miranda, J. M., Wysocki, T., Portwood, S. G., Piacentini, J. C., Tynan, W. D., et al. (2015) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2015.1077451 · Cited by 31 · see citing works
A Quantitative Test of an Implementation Framework in 38 VA Residential PTSD Programs
Cook, J. M., Dinnen, S., Thompson, R., Ruzek, J. I., Coyne, J. C., & Schnurr, P. P. (2014) · Administration and Policy in Mental Health and Mental Health Services Research · doi:10.1007/s10488-014-0590-0 · Cited by 30 · see citing works
The Role of Organizational Culture and Climate in the Dissemination and Implementation of Empirically Supported Treatments for Youth
Williams, N. J., & Glisson, C. A. (2014) · Cited by 30 · see citing works
Increasing clinicians' EBT exploration and preparation behavior in youth mental health services by changing organizational culture with ARC
Glisson, C. A., Williams, N. J., Hemmelgarn, A. L., Proctor, E. K., & Green, P. (2015) · Behaviour Research and Therapy · doi:10.1016/j.brat.2015.11.008 · Cited by 29 · see citing works
Innovation Attributes and Adoption Decisions: Perspectives from Leaders of a National Sample of Addiction Treatment Organizations
Knudsen, H. K., & Roman, P. M. (2014) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2014.08.003 · Cited by 28 · see citing works
Evaluating training methods for transporting contingency management to therapists
Henggeler, S. W., Chapman, J. E., Rowland, M. D., Sheidow, A. J., & Cunningham, P. B. (2013) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2013.06.008 · Cited by 27 · see citing works
Using Direct-to-Consumer Marketing Strategies With Obsessive-Compulsive Disorder in the Nonprofit Sector
Szymanski, J. (2011) · Behavior Therapy · doi:10.1016/j.beth.2011.05.005 · Cited by 25 · see citing works
System-Level Influences on the Sustainability of a Cognitive Therapy Program in a Community Behavioral Health Network
Stirman, S. W., Matza, A., Gamarra, J., Toder, K., Xhezo, R., Evans, A. C., Hurford, M., Beck, A. T., Crits-Christoph, P., & Creed, T. (2015) · Psychiatric Services · doi:10.1176/appi.ps.201400147 · Cited by 20 · see citing works
Self-citation
Community Engagement Strategies for Implementation of a Policy Supporting Evidence-Based Practices: A Case Study of Washington State
D'Angelo, G., Pullmann, M. D., & Lyon, A. R. (2015) · Administration and Policy in Mental Health and Mental Health Services Research · doi:10.1007/s10488-015-0664-7 · Cited by 12 · see citing works
Influence of organizational role, consensus and innovation status on perceived facilitators and barriers to adoption of innovative and evidence-based practices in state-supported mental health clinics
Palinkas, L. A., Olin, S.-C. S., Chor, B., Um, M. Y., Jeong, C. H., O’Connor, B. C., Horwitz, S. M., & Hoagwood, K. (2015) · Implementation Science · doi:10.1186/1748-5908-10-s1-a41 · Cited by 10 · see citing works
Readiness to Implement an Evidence-Based Psychotherapy: Perspectives of Community Mental Health Clinicians and Administrators
Hamm, M., Williams, K. R., Nikolajski, C., Celedonia, K. L., Frank, E., Swartz, H. A., Zickmund, S. L., & Stein, B. D. (2015) · Psychiatric Services · doi:10.1176/appi.ps.201400424 · Cited by 8 · see citing works
Systematic Reviews in Public Health
McPheeters, M. L., Briss, P. A., Teutsch, S. M., & Truman, B. I. (2006) · Oxford University Press eBooks · doi:10.1093/acprof:oso/9780195187410.003.0004 · Cited by 6 · see citing works

Flagged first, then by citations

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“Scaling-out” evidence-based interventions to new populations or new health care delivery systems
Aarons, G. A., Sklar, M., Mustanski, B., Benbow, N., & Brown, C. H. (2017) · Implementation Science · doi:10.1186/s13012-017-0640-6 · Cited by 399 · see citing works
“However, adaptations to accommodate an EBI are likely to be needed at the service system or organization levels, and often to the EBI itself [47, 60].”
Background
A Review of Studies on the System-Wide Implementation of Evidence-Based Psychotherapies for Posttraumatic Stress Disorder in the Veterans Health Administration
Rosen, C. S., Matthieu, M. M., Stirman, S. W., Cook, J. M., Landes, S. J., Bernardy, N. C., Chard, K. M., Crowley, J. J., Eftekhari, A., Finley, E. P., et al. (2016) · Administration and Policy in Mental Health and Mental Health Services Research · doi:10.1007/s10488-016-0755-0 · Cited by 140 · see citing works
Self-citation
A systematic review of the clinician related barriers and facilitators to the use of evidence-informed interventions for post traumatic stress
Finch, J., Ford, C. E. L., Grainger, L., & Meiser‐Stedman, R. (2019) · Journal of Affective Disorders · doi:10.1016/j.jad.2019.11.143 · Cited by 88 · see citing works
A randomized controlled effectiveness trial of training strategies in cognitive processing therapy for posttraumatic stress disorder: Impact on patient outcomes
Monson, C. M., Shields, N., Suvak, M. K., Lane, J. E. M., Shnaider, P., Landy, M. S. H., Wagner, A. C., Sijercic, I., Masina, T., Wanklyn, S. G., et al. (2018) · Behaviour Research and Therapy · doi:10.1016/j.brat.2018.08.007 · Cited by 86 · see citing works
Self-citation
Measuring implementation in global mental health: Validation of a pragmatic implementation science measure in eastern Ukraine using an experimental vignette design
Haroz, E. E., Bolton, P., Nguyen, A. J., Lee, C., Bogdanov, S., Bass, J., Singh, N. S., Doty, B., & Murray, L. (2019) · BMC Health Services Research · doi:10.1186/s12913-019-4097-y · Cited by 70 · see citing works
“Consumers are often included in the major theoretical frameworks that guide current D&I research [1, 14, 16], and are considered key stakeholders in the implementation process [36, 37].”
Background
VA mobile apps for PTSD and related problems: public health resources for veterans and those who care for them
Owen, J. E., Kuhn, E. R., Jaworski, B. K., McGee-Vincent, P. A., Juhasz, K. M., Hoffman, J. E., & Rosen, C. S. (2018) · mHealth · doi:10.21037/mhealth.2018.05.07 · Cited by 67 · see citing works
“A number of implementation science-based strategies have been proposed for rapidly disseminating evidenceinformed interventions, including learning collaboratives, task-sharing, and therapist- level implementation strategies (66).”
Background
Testing a Theory of Implementation Leadership and Climate Across Autism Evidence-Based Interventions of Varying Complexity
Williams, N. J., Hugh, M. L., Cooney, D., Worley, J. A., & Locke, J. J. (2022) · Behavior Therapy · doi:10.1016/j.beth.2022.03.001 · Cited by 49 · see citing works
Documentation of Evidence-Based Psychotherapy and Care Quality for PTSD in the Department of Veterans Affairs
Sripada, R., Bohnert, K. M., Ganoczy, D., & Pfeiffer, P. N. (2018) · Administration and Policy in Mental Health and Mental Health Services Research · doi:10.1007/s10488-017-0828-8 · Cited by 45 · see citing works
“Rates of EBP implementation may vary substantially by facility, depending on the fit with existing practices (Stirman et al. 2015).”
Background
Factors impacting the implementation of a psychoeducation intervention within the mental health system: a multisite study using the consolidation framework for implementation research
Higgins, A., Murphy, R., Downes, C., Barry, J., Monahan, M., Hevey, D., Kroll, T., Doyle, L., & Gibbons, P. (2020) · BMC Health Services Research · doi:10.1186/s12913-020-05852-9 · Cited by 44 · see citing works
Socio-technical Imaginaries: Envisioning and Understanding AI Parenting Supports through Design Fiction
Petsolari, M., Ibrahim, S. B., & Slovak, P. (2024) · Proceedings of the CHI Conference on Human Factors in Computing Systems · doi:10.1145/3613904.3642619 · Cited by 35 · see citing works
“Specifcally, most research often focuses on technical feasibility with less consideration of real-world clinical impact [2, 78, 129, 333].”
The Sustained Effects of CBT Training on Therapist Competence and Patient Outcomes
Liness, S., Beale, S., Lea, S. J., Byrne, S., Hirsch, C. R., & Clark, D. M. (2018) · Cognitive Therapy and Research · doi:10.1007/s10608-018-9987-5 · Cited by 32 · see citing works
Stepped Care as an Implementation and Service Delivery Model for Cognitive Behavioral Therapy for Psychosis
Kopelovich, S. L., Strachan, E. D., Sivec, H. J., & Kreider, V. A. L. (2019) · Community Mental Health Journal · doi:10.1007/s10597-018-00365-6 · Cited by 30 · see citing works
“Although stepped care has demonstrated promise as a model for delivering mental health treatments to individuals served by public mental health agencies or systems, it has received far less attention as method of implementing EBPIs in community mental health agencies (e.g., training providers in the CBT protocol that…”
BackgroundInfluential
Enhancing Online Training in an Evidence-Based Treatment for Adolescent Panic Disorder: A Randomized Controlled Trial
Ehrenreich, J. T., Dimeff, L. A., Woodcock, E. A., Queen, A. H., Kelly, T. B., Contreras, I., Rash, B., Kelley-Brimer, A., Hauschildt, J., Danner, S., et al. (2016) · Evidence-Based Practice in Child and Adolescent Mental Health · doi:10.1080/23794925.2016.1245116 · Cited by 28 · see citing works
Implementation Science and Practice-Oriented Research: Convergence and Complementarity
Youn, S. J., Boswell, J. F., Douglas, S. R., Harris, B. A., Aajmain, S. T., Arnold, K. T., Creed, T. A., Gutner, C. A., Orengo‐Aguayo, R., Oswald, J. M., et al. (2023) · Administration and Policy in Mental Health and Mental Health Services Research · doi:10.1007/s10488-023-01296-5 · Cited by 22 · see citing works
“…fidelity is important both in initial training, provision of ongoing support, and monitoring of ongoing quality (Aarons et al., 2011; Racine, 2006; Stirman et al., 2016), as implementers measure initial and growing therapist skills, identify areas for further growth after the initial training has…”
Self-citation
Remote group therapies for cognitive health in schizophrenia-spectrum disorders: Feasible, acceptable, engaging
Mendelson, D., Thibaudeau, É., Sauvé, G., Lavigne, K. M., Bowie, C. R., Menon, M., Woodward, T. S., Lepage, M., & Raucher‐Chéné, D. (2021) · Schizophrenia Research Cognition · doi:10.1016/j.scog.2021.100230 · Cited by 22 · see citing works
“Such positive impressions are crucial for the implementation and further development of such programs (Atkins et al., 2017; Stirman et al., 2016).”
Background
Training During a Pandemic: Successes, Challenges, and Practical Guidance From a Virtual Facilitated Learning Collaborative Training Program for Written Exposure Therapy
Worley, C. B., LoSavio, S. T., Aajmain, S. T., Rosen, C. S., Stirman, S. W., & Sloan, D. M. (2020) · Journal of Traumatic Stress · doi:10.1002/jts.22589 · Cited by 23 · see citing works
“Numerous factors contribute to the gap between research and practice, including the broad sociopolitical context; organizational factors, such as leadership support and availability of resources; provider motivation, attitudes, and skills; and characteristics of the interventions themselves (Chen et al., 2017; Stirman…”
Self-citation
Leadership perspectives on key elements influencing implementing a family‐focused intervention in mental health services
Allchin, B., Goodyear, M. J., O’Hanlon, B., & Weimand, B. M. (2020) · Journal of Psychiatric and Mental Health Nursing · doi:10.1111/jpm.12615 · Cited by 21 · see citing works
Quantitative measures used in empirical evaluations of mental health policy implementation: A systematic review
Pilar, M. R., Jost, E., Walsh‐Bailey, C., Powell, B. J., Mazzucca, S., Eyler, A. A., Purtle, J., Allen, P. M., & Brownson, R. C. (2022) · Implementation Research and Practice · doi:10.1177/26334895221141116 · Cited by 24 · see citing works
“Unfortunately, access to mental health services is limited for many, due to barriers such as provider shortages, distance from services, and insufficient funding (Kilbourne et al., 2018; Saxena et al., 2007; Stirman et al., 2016; Williams, 2016).”
Background
Implementing Evidence-Based Mental-Health Treatments: Attending to Training, Fidelity, Adaptation, and Context
Stirman, S. W. (2022) · Current Directions in Psychological Science · doi:10.1177/09637214221109601 · Cited by 19 · see citing works
“Over time, frameworks have been developed to guide the study of the determinants and process of implementation, as well as the assessment of relevant outcomes, including feasibility, acceptability, appropriateness, cost, implementation fidelity, sustainability, and clinical outcomes (Nilsen, 2015; Stirman et al., 2016…”
BackgroundInfluentialSelf-citation
Applying implementation science in mental health services: Technical assistance cases from the Mental Health Technology Transfer Center (MHTTC) network
Gotham, H. J., Cummings, J. R., Dolce, J. N., Druss, B. G., Gill, K. J., Kopelovich, S. L., Molfenter, T. D., Olson, J. R., Benson, F., & Chwastiak, L. (2022) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2022.01.004 · Cited by 17 · see citing works
Evaluating transdiagnostic, evidence-based mental health care in a safety-net setting serving homeless individuals.
Sauer-Zavala, S. E., Ametaj, A., Wilner, J. G., Bentley, K. H., Marquez, S., Patrick, K. A., Starks, B. A., Shtasel, D. L., & Marques, L. M. (2018) · Psychotherapy · doi:10.1037/pst0000187 · Cited by 16 · see citing works
The role of context in the implementation of trauma-focused treatments: effectiveness research and implementation in higher and lower income settings
Chen, J. A., Olin, C. C., Stirman, S. W., & Kaysen, D. L. (2016) · Current Opinion in Psychology · doi:10.1016/j.copsyc.2016.11.007 · Cited by 15 · see citing works
Self-citation
An intervention mapping process to increase evidence-based psychotherapy within a complex healthcare system.
Crowe, C., Collie, C., Johnson, C., & Wiltsey Stirman, S. (2020) · American Psychologist · doi:10.1037/amp0000631 · Cited by 14 · see citing works
Community Health Worker programmes’ integration into national health systems: Scoping review
Mupara, L. M., Mogaka, J., Brieger, W. R., & Tsoka-Gwegweni, J. M. (2023) · African Journal of Primary Health Care & Family Medicine · doi:10.4102/phcfm.v15i1.3204 · Cited by 14 · see citing works
“33,34 Many conditions, such as unanticipated budgetary restrictions, public opinion, political values and ideology, epidemiologic occurrences, and social and economic realities, frequently affect policies, which are not represented in the simple ways in which policies are constructed.”
Background
Implementation of a Stepped Care Program to Address Emotional Recovery among Traumatic Injury Patients
Davidson, T. M., Espeleta, H. C., Ridings, L. E., Witcraft, S. M., Bravoco, O., Higgins, K., Houchins, R., Kitchens, D., Manning, B. M., Jones, S., et al. (2023) · Journal of the American College of Surgeons · doi:10.1097/xcs.0000000000000862 · Cited by 14 · see citing works
Race and Equity in Statewide Implementation Programs: An Application of the Policy Ecology of Implementation Framework
Aby, M. (2020) · Administration and Policy in Mental Health and Mental Health Services Research · doi:10.1007/s10488-020-01033-2 · Cited by 14 · see citing works
An explanatory model of factors enabling sustainability of let’s talk in an adult mental health service: a participatory case study
Allchin, B., O’Hanlon, B., Weimand, B. M., Boyer, F., Cripps, G., Gill, L., Paisley, B., Pietsch, S., Wynne, B., & Goodyear, M. J. (2020) · International Journal of Mental Health Systems · doi:10.1186/s13033-020-00380-9 · Cited by 14 · see citing works
A commentary on research rigour in clinical psychological science: How to avoid throwing out the innovation baby with the research credibility bath water in the depression field
Dunn, B. D., O’Mahen, H., Wright, K. A., & Brown, G. P. (2019) · Behaviour Research and Therapy · doi:10.1016/j.brat.2019.103417 · Cited by 13 · see citing works
Behavioral Therapy Teams for Obsessive-Compulsive Disorder: Lessons Learned From a Pilot Randomized Trial in a Community Mental Health Center
Mancebo, M. C., Yip, A. G., Boisseau, C. L., Rasmussen, S. A., & Zlotnick, C. (2021) · Behavior Therapy · doi:10.1016/j.beth.2021.02.009 · Cited by 12 · see citing works
Using “remote” training and coaching to increase providers' skills for working effectively with older youth and young adults with serious mental health conditions
Walker, J. S., & Baird, C. (2019) · Children and youth services review · doi:10.1016/j.childyouth.2019.02.040 · Cited by 12 · see citing works
Treatment selection among posttraumatic stress disorder (PTSD) specialty care providers in the Veterans Health Administration: A thematic analysis.
Finley, E. P., Garcia, H. A., Ramirez, V., Haro, E. K., Mignogna, J., DeBeer, B. B., & Stirman, S. W. (2019) · Psychological Trauma Theory Research Practice and Policy · doi:10.1037/tra0000477 · Cited by 12 · see citing works
Self-citation
Harnessing Implementation Science in Clinical Psychology: Past, Present, and Future
Beidas, R. S., Boyd, M. R., Casline, E. P., Scott, K., Patel, Z. S., Mills, C., Mustanski, B. S., Schriger, S. H., Williams, F. S., Waller, C., et al. (2025) · Annual Review of Clinical Psychology · doi:10.1146/annurev-clinpsy-081423-021727 · Cited by 12 · see citing works
Changes in practitioners’ attitudes, perceived training needs and self-efficacy over the implementation process of an evidence-based parenting program
Côté, M., & Gagné, M. (2020) · BMC Health Services Research · doi:10.1186/s12913-020-05939-3 · Cited by 12 · see citing works
What caregivers like the most (and least) about cognitive behavioral therapy for youth anxiety: A mixed methods approach
Norris, L. A., Rabner, J. C., Crane, M. E., Cervin, M., Ney, J. S., Benito, K., Kendall, P. C., & Frank, H. E. (2023) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2023.102742 · Cited by 10 · see citing works
Continued capacity: Factors of importance for organizations to support continued Let's Talk practice – a mixed‐methods study
Allchin, B., Weimand, B. M., O’Hanlon, B., & Goodyear, M. J. (2020) · International Journal of Mental Health Nursing · doi:10.1111/inm.12754 · Cited by 10 · see citing works
Building organizational readiness: initial field testing of an expert-informed typology of implementation strategies
Vax, S., Farkas, M. D., Mueser, K. T., Drainoni, M., & Russinova, Z. L. (2022) · Implementation Science Communications · doi:10.1186/s43058-022-00257-7 · Cited by 11 · see citing works
A Narrative Inquiry Into Global Systems Change to Support Families When a Parent Has a Mental Illness
Isobel, S., Allchin, B., Goodyear, M. J., & Gladstone, B. (2019) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2019.00310 · Cited by 10 · see citing works
“The current study illustrates the complexity of systems change to support families where a parent has a mental illness and highlights the need for coordinated action in multiple spheres for long-term sustainable change (18, 23, 33, 34).”
Background
Treatment utilization and barriers to treatment among individuals with olfactory reference syndrome (ORS)
Greenberg, J. L., Berman, N. C., Braddick, V., Schwartz, R. A., Mothi, S. S., & Wilhelm, S. (2017) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2017.12.004 · Cited by 8 · see citing works
A Preliminary Investigation of Provider Attitudes Toward a Transdiagnostic Treatment: Outcomes from Training Workshops with the Unified Protocol
Ametaj, A. A., Wilner Tirpak, J., Cassiello-Robbins, C., Snow, R., Rassaby, M. M., Beer, K., & Sauer-Zavala, S. (2021) · Administration and Policy in Mental Health and Mental Health Services Research · doi:10.1007/s10488-020-01101-7 · Cited by 7 · see citing works
A Quality Improvement Assessment of the Delivery of Mental Health Services among WTC Responders Treated in the Community
Bellehsen, M. H., Moline, J. M., Rasul, R., Bevilacqua, K., Schneider, S., Kornrich, J., & Schwartz, R. M. (2019) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph16091536 · Cited by 7 · see citing works
“Furthermore, EBT implementation and quality assurance processes have greater chances of success when the stakeholders’ voices and the contexts of implementation are factored into the process of change [43,44].”
Background
Implementation and scalability of a digital intervention to reduce depressive symptoms in people with diabetes, hypertension or both in Brazil and Peru: a qualitative study of health system’s stakeholders’ perspectives
Cavero, V., Toyama, M., Castro, H. C. M., Couto, M. T., Brandt, L., Quayle, J., Menezes, P. R., Mohr, D. C., Araya, R., Miranda, J. J., et al. (2022) · Discover Mental Health · doi:10.1007/s44192-022-00015-0 · Cited by 7 · see citing works
“However, many interventions successfully tested in RCTs are not further implemented in real-world settings due to a variety of factors, including healthcare policies, available funding or providers’ attitudes towards the intervention [11].”
Background
A Comparison of Pragmatic and Scalable Strategies to Assess Fidelity to Cognitive Processing Therapy in Routine Care Settings
Stirman, S. W., Gumport, N. B., Calloway, A. L., Gunter, C., Marques, L. M., Hernandez, S., Song, J., Johnson, C. M., Youn, S. J., Elhusseini, S. A., et al. (2024) · Behavior Therapy · doi:10.1016/j.beth.2024.12.003 · Cited by 6 · see citing works
Self-citation
Exploring County-Level Resources Influencing Evidence-Based Practices and Treatment Uptake in Behavioral Health Settings
Taxman, F. S., Shukla, N., Ramezani, N., Viglione, J., & Johnson, J. E. (2025) · Corrections · doi:10.1080/23774657.2024.2447693 · Cited by 5 · see citing works
“Scholars have identified practices and treatments that have sufficient research studies to demonstrate they can improve mental health services, service quality, and/or patient outcomes (American Psychological Association, 2005; Johnson et al., 2023; S. W. Stirman et al., 2016).”
Navigating Social Cognitive Impairments in Schizophrenia Spectrum Disorders: Protocol for a Pilot Pre-Post Quasi-Experimental Study for Remote Avatar-Assisted Cognitive Remediation Therapy
Thibaudeau, É., Peyroux, É., Nicolas Franck, B., Carling, H., & Lepage, M. (2024) · JMIR Research Protocols · doi:10.2196/54251 · Cited by 6 · see citing works
“This information is central to documentation in any intervention study, given the significant research-to-practice gap [48] limiting the implementation of interventions developed in the context of research in clinical settings.”
Background
Adapting and implementing breast cancer follow-up in primary care: protocol for a mixed methods hybrid type 1 effectiveness-implementation cluster randomized study
Fadem, S. J., Crabtree, B. F., O’Malley, D. M., Mikesell, L., Ferrante, J. M., Toppmeyer, D., Ohman‐Strickland, P., Hemler, J. R., Howard, J., Bator, A., et al. (2023) · BMC Family Practice · doi:10.1186/s12875-023-02186-3 · Cited by 5 · see citing works
“EPIS is a program implementation-based framework that provides assessment constructs for exploring inner and outer context factors that impact evidence-based intervention implementation [52–54].”
Background
The efficacy of transdiagnostic cognitive behavioral therapy on migraine headache: a pilot, feasibility study
Soleimanian-Boroujeni, F., Badihian, N., Badihian, S., Shaygannejad, V., & Gorji, Y. (2022) · BMC Neurology · doi:10.1186/s12883-022-02729-8 · Cited by 5 · see citing works
“Despite the observed efficacy in research setting, a gap in practice exists in delivering mental health services [25, 26].”
Background
“What Do I Say? How Do I Say it?” Twitter as a Knowledge Dissemination Tool for Mental Health Research
Madden, E., Prior, K., Gückel, T., Bock, S. G., Bryant, Z., O’Dean, S., Nepal, S., Ward, C., & Thornton, L. K. (2023) · Journal of Health Communication · doi:10.1080/10810730.2023.2278617 · Cited by 5 · see citing works
“Despite the prevalence and impact of these disorders, research-to-practice gaps continue to slow the effective implementation of evidence-based practice and policy (Jorm & Malhi, 2013; Proctor et al., 2009; Wainberg et al., 2017; Wiltsey Stirman, Gutner, Langdon, & Graham, 2016).”
Background
Beyond checkboxes: A qualitative assessment of physicians' experiences providing care in a patient‐centred medical home
Sklar, M., Seijo, C., Goldman, R. E., & Eaton, C. B. (2019) · Journal of Evaluation in Clinical Practice · doi:10.1111/jep.13136 · Cited by 5 · see citing works
Statewide implementation of high-fidelity recovery-oriented ACT: A case study
Herinckx, H. A., Kerlinger, A., & Cellarius, K. (2021) · Implementation Research and Practice · doi:10.1177/2633489521994938 · Cited by 5 · see citing works
“Despite the awareness of the gap between research and practice, it continues to exist (Stirman et al., 2016).”
Background
The effect of an online lecture on psychosocial cancer care providers’ attitudes about hypnosis.
Montgomery, G. H., Force, J., Dillon, M. J., David, D. O., & Schnur, J. B. (2019) · Psychology of Consciousness Theory Research and Practice · doi:10.1037/cns0000191 · Cited by 5 · see citing works
The Relation Between Research and Practice
Oliveira, V. (2021) · The urban book series · doi:10.1007/978-3-030-66460-2_1 · Cited by 4 · see citing works
Community Health Worker programmes’ integration into national health systems: Scoping review
Mupara, L. M., Mogaka, J., Brieger, W. R., & Tsoka-Gwegweni, J. M. (2022) · African Journal of Primary Health Care & Family Medicine · doi:10.4102/phcfm.v14i1.3204 · Cited by 4 · see citing works
Conceptualizing Neighborhood Context in Youth Psychotherapy Research
Patel, Z. S., Moise, I. K., Bulotsky‐Shearer, R. J., Price, M. A., Becker, S. J., & Jensen‐Doss, A. (2024) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2024.2303705 · Cited by 4 · see citing works
“First, task sharing is an approach that empowers paraprofessionals (e.g., peers, community health workers) to deliver a specific intervention under supervision (Stirman et al., 2016).”
Using normalization process theory to evaluate the implementation of a hybrid psychosocial prevention intervention in mental health care – a qualitative interview study
Gehrmann, J., Stephan, J., Dehner, J., Stullich, A., & Richter, M. (2026) · BMC Health Services Research · doi:10.1186/s12913-026-14631-x · Cited by 3 · see citing works
“Therefore, a theoretical implementation framework tailored to the intervention setting and the specifics of the newly developed intervention is beneficial, also offering an in-depth understanding of the processes and the framework conditions surrounding its implementation [27, 31].”
Multi-component interventions combining psychotherapy and physical activity for children and young peoples’ mental health: A scoping review
D'Sa, M. B., Relph, N., Liverpool, S., Tebble, G., & Owen, M. B. (2025) · PLOS mental health. · doi:10.1371/journal.pmen.0000227 · Cited by 3 · see citing works
“Therefore, it is recommended that future research efforts focus on documenting and analysing these emerging practices to bridge the gap between real-world application and academic understanding [142,143].”
Stöd till personer med psykisk funktionsnedsättning
Markström, U. (2020) · Socialvetenskaplig tidskrift · doi:10.3384/svt.2019.26.3-4.3093 · Cited by 2 · see citing works
Evaluating the Implementation of an Intervention Based on Acceptance and Commitment Therapy in Postsecondary Institutions
Nedelcu, A., & Grégoire, S. (2020) · Journal of College Student Psychotherapy · doi:10.1080/87568225.2020.1806162 · Cited by 3 · see citing works
“With respect to financing, Stirman et al. (2016) note that interventions already receiving financial support are more readily implemented than those requiring additional investment from the institution.”
Background
Outcomes Associated With Adapting a Research-Supported Treatment for Children With Behavior Disorders
Acri, M. C., Bornheimer, L. A., Hamovitch, E., & Lambert, K. (2019) · Research on Social Work Practice · doi:10.1177/1049731519841439 · Cited by 3 · see citing works
Attitudes towards virtual reality usage in exposure treatment: Data from German practitioners and how a demonstration changes them.
Badeja, D., Schier, F., McGinity, M., & Hoyer, J. (2026) · Psychotherapy Research · doi:10.1080/10503307.2025.2534978 · Cited by 2 · see citing works
“Post-training, long-term implementation may be supported through consultation and mentoring by experts within psychotherapeutic communities, aligning with theories conceptualizing implementation as a process partly driven by social learning (Stirman et al., 2016; Straub, 2009; Wray et al., 2023).”
Strategic use of resources to enhance colorectal cancer screening for patients with diabetes (SURE: CRC4D) in federally qualified health centers: a protocol for hybrid type ii effectiveness-implementation trial
O’Malley, D. M., Crabtree, B. F., Kaloth, S., Ohman‐Strickland, P., Ferrante, J. M., Hudson, S. V., & Kinney, A. Y. (2024) · BMC Family Practice · doi:10.1186/s12875-024-02496-0 · Cited by 2 · see citing works
“Guided by EPIS, contextual factors were selected based on suggestions from clinical stakeholders, community partners, and previous literature suggesting they may influence implementation success [54–56] (see Table 4).”
Method
Honoring the Past and Looking to the Future: Updates on Seminal Behavior Therapy Publications on Current Therapies and Future Directions
Newman, M. G. (2016) · Behavior Therapy · doi:10.1016/j.beth.2016.08.003 · Cited by 2 · see citing works
Pilot randomised controlled trial of counselling in a community mental health setting: Pitfalls and learnings
Farr, J., Malta, G. D., & Cooper, M. (2019) · Counselling and Psychotherapy Research · doi:10.1002/capr.12262 · Cited by 1 · see citing works
Proceedings of the Fifth Biennial Conference of the Society for Implementation Research Collaboration (SIRC) 2019: where the rubber meets the road: the intersection of research, policy, and practice - part 2
Siegle, A., zu Sayn-Wittgenstein-Hohenstein, F., & Roes, M. (2020) · Implementation Science · doi:10.1186/s13012-020-01033-8 · Cited by 2 · see citing works
Application of ‘Readiness for Change’ concept within implementation of evidence-based mental health interventions globally: protocol for a scoping review
Dev, S., & Shidhaye, R. R. (2024) · Wellcome Open Research · doi:10.12688/wellcomeopenres.18602.2 · Cited by 1 · see citing works
“It then becomes imperative to give these underlying interactions adequate thought, so that optimal performance of the EBmhI and favorable outcomes may be expected (Stirman et al. , 2016).”
Background
The Exposure Guide: A Practical Measure of Exposure Quality
Benito, K., Herren, J. A., Norris, L. A., Gardiner, K. M., Choate-Summers, M. L., & Freeman, J. B. (2024) · Behavior Therapy · doi:10.1016/j.beth.2024.11.002 · Cited by 1 · see citing works
Tailored strategies to increase the use of an evidence-based psychotherapy for posttraumatic stress disorder: A stepped-wedge randomized trial in military clinics
Rosen, C. S., Peterson, A. L., Riggs, D. S., Haddock, C. K., Fong, C., Young‐McCaughan, S., Cook, J. H., Comtois, K. A., Borah, E. V., Davis, C. A., et al. (2025) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2025.103080 · Cited by 2 · see citing works
Self-citation
Hybrid effectiveness-implementation studies in mental health: three practical examples
Lorente-Català, R., & García‐Palacios, A. (2026) · International Journal of Evidence-Based Healthcare · doi:10.1097/xeb.0000000000000592 · Cited by 1 · see citing works
Program description and implementation findings of MyCare: enhancing community mental health care in Tasmania, Australia
O’Donnell, R., Ayton, D., Pizzirani, B., Savaglio, M., Fast, D., Vicary, D., & Skouteris, H. (2020) · Australian Journal of Primary Health · doi:10.1071/py20046 · Cited by 1 · see citing works
Trauma- and Stressor-Related Disorders
Sherrill, A. M., & Rauch, S. A. M. (2018) · Cambridge University Press eBooks · doi:10.1017/9781108140416.031 · Cited by 1 · see citing works
Mental health for all
Dev, S. (2021) · doi:10.17760/d20416628 · Cited by 1 · see citing works
Administering CPT across health care systems and clinical settings
Galovski, T. E., Nixon, R. D. V., & Kaysen, D. L. (2020) · Elsevier eBooks · doi:10.1016/b978-0-12-816715-1.00012-1
From Theory to Practice
Oliveira, V. (2021) · The urban book series · doi:10.1007/978-3-030-92454-6_7
The Efficacy of Transdiagnostic Cognitive Behavioral Therapy on Migraine Headache: A Randomized Clinical TrialPreprint
Soleimanian-Boroujeni, F., Badihian, N., Badihian, S., Shaygannejad, V., & Gorji, Y. (2022) · Research Square · doi:10.21203/rs.3.rs-1143097/v1
UK therapist views of barriers and facilitators to evidence-based CBT practice: a qualitative inquiry using the Theoretical Domains Framework
Muse, K., Walklet, E., Anderson, K., & Rees-Davies, L. N. (2025) · The Cognitive Behaviour Therapist · doi:10.1017/s1754470x25100160
How can citizen science enhance mental health research quality: theory of change development
Todowede, O. O., Rennick‐Egglestone, S., Boyd, D. S., Moran, S., Bell, A., Sweeney, A., Hart, A., Tomlin, A., Robotham, D., Repper, J., et al. (2025) · BMJ Open · doi:10.1136/bmjopen-2024-091007 · Cited by 1 · see citing works
Enhancing confidence in evidence-based psychological trauma care and implementation research: training program for clinicians in Ukraine
Nickelsen, T., Muller, G. N., Clark, S. L., Bordiuzhenko, O., Liberzon, I., & Ory, M. G. (2025) · International Journal of Mental Health Systems · doi:10.1186/s13033-025-00690-w · Cited by 1 · see citing works
“We note that due to a relatively small number of trainees, this analysis may have been underpowered, potentially leading to type 2 error, a limitation also noted by Stirman et al. [33] in similar implementation studies.”
Implementing AMBIT Benefits, Challenges, and Perceived Impact
Fee, B., Wilson, C., & Butlin, B. (2025) · Journal of Infant Child and Adolescent Psychotherapy · doi:10.1080/15289168.2025.2556398
“The research suggests that there is a need to identify core components and use fidelity checklists to measure adherence to these (Stirman et al., 2016).”
Goal consensus and task agreement as predictors of attendance and compliance in community-based treatments for adolescents with emotional disorders
Panek, A., Butler, E. J., Jensen‐Doss, A., Ehrenreich, J. T., & Ginsburg, G. S. (2025) · Child and Adolescent Psychiatry and Mental Health · doi:10.1186/s13034-025-00970-w
“There are several potential reasons for this gap in effectiveness between research and practice settings [45].”
Additional file 2 of Changes in practitioners’ attitudes, perceived training needs and self-efficacy over the implementation process of an evidence-based parenting program
Côté, M.-K., & Gagné, M.-H. (2020) · Figshare · doi:10.6084/m9.figshare.13297380
Additional file 3 of Factors impacting the implementation of a psychoeducation intervention within the mental health system: a multisite study using the consolidation framework for implementation research
Higgins, A., Murphy, R., Downes, C., Barry, J., Monahan, M., Hevey, D., Kroll, T., Doyle, L., & Gibbons, P. (2020) · Figshare · doi:10.6084/m9.figshare.13212740
Additional file 1 of Building organizational readiness: initial field testing of an expert-informed typology of implementation strategies
Vax, S., Farkas, M. D., Mueser, K. T., Drainoni, M., & Russinova, Z. L. (2022) · Figshare · doi:10.6084/m9.figshare.19298459
Additional file 1 of Adapting and implementing breast cancer follow-up in primary care: protocol for a mixed methods hybrid type 1 effectiveness-implementation cluster randomized study
Fadem, S. J., Crabtree, B. F., O’Malley, D. M., Mikesell, L., Ferrante, J. M., Toppmeyer, D., Ohman-Strickland, P. A., Hemler, J. R., Howard, J., Bator, A., et al. (2023) · Figshare · doi:10.6084/m9.figshare.24540554
Additional file 2 of Measuring implementation in global mental health: validation of a pragmatic implementation science measure in eastern Ukraine using an experimental vignette design
Haroz, E. E., Bolton, P. A., Nguyen, A. J., Lee, C., Bogdanov, S., Bass, J., Singh, N. S., Doty, B., & Murray, L. K. (2019) · Figshare · doi:10.6084/m9.figshare.8057684
Additional file 2 of Building organizational readiness: initial field testing of an expert-informed typology of implementation strategies
Vax, S., Farkas, M. D., Mueser, K. T., Drainoni, M., & Russinova, Z. L. (2022) · Figshare · doi:10.6084/m9.figshare.19298465
Additional file 5 of Factors impacting the implementation of a psychoeducation intervention within the mental health system: a multisite study using the consolidation framework for implementation research
Higgins, A., Murphy, R., Downes, C., Barry, J., Monahan, M., Hevey, D., Kroll, T., Doyle, L., & Gibbons, P. (2020) · Figshare · doi:10.6084/m9.figshare.13212746
Additional file 6 of Factors impacting the implementation of a psychoeducation intervention within the mental health system: a multisite study using the consolidation framework for implementation research
Higgins, A., Murphy, R., Downes, C., Barry, J., Monahan, M., Hevey, D., Kroll, T., Doyle, L., & Gibbons, P. (2020) · Figshare · doi:10.6084/m9.figshare.13212749
Additional file 3 of Measuring implementation in global mental health: validation of a pragmatic implementation science measure in eastern Ukraine using an experimental vignette design
Haroz, E. E., Bolton, P. A., Nguyen, A. J., Lee, C., Bogdanov, S., Bass, J., Singh, N. S., Doty, B., & Murray, L. K. (2019) · Figshare · doi:10.6084/m9.figshare.8057690
Additional file 4 of Measuring implementation in global mental health: validation of a pragmatic implementation science measure in eastern Ukraine using an experimental vignette design
Haroz, E. E., Bolton, P. A., Nguyen, A. J., Lee, C., Bogdanov, S., Bass, J., Singh, N. S., Doty, B., & Murray, L. K. (2019) · Figshare · doi:10.6084/m9.figshare.8057696
Additional file 5 of Measuring implementation in global mental health: validation of a pragmatic implementation science measure in eastern Ukraine using an experimental vignette design
Haroz, E. E., Bolton, P. A., Nguyen, A. J., Lee, C., Bogdanov, S., Bass, J., Singh, N. S., Doty, B., & Murray, L. K. (2019) · Figshare · doi:10.6084/m9.figshare.8057702
Additional file 3 of Building organizational readiness: initial field testing of an expert-informed typology of implementation strategies
Vax, S., Farkas, M. D., Mueser, K. T., Drainoni, M., & Russinova, Z. L. (2022) · Figshare · doi:10.6084/m9.figshare.19298468
Additional file 1 of Changes in practitioners’ attitudes, perceived training needs and self-efficacy over the implementation process of an evidence-based parenting program
Côté, M.-K., & Gagné, M.-H. (2020) · Figshare · doi:10.6084/m9.figshare.13297377
Additional file 1 of Strategic use of resources to enhance colorectal cancer screening for patients with diabetes (SURE: CRC4D) in federally qualified health centers: a protocol for hybrid type ii effectiveness-implementation trial
O’Malley, D. M., Crabtree, B. F., Kaloth, S., Ohman-Strickland, P., Ferrante, J., Hudson, S. V., & Kinney, A. Y. (2024) · Figshare · doi:10.6084/m9.figshare.26744309
Additional file 4 of Factors impacting the implementation of a psychoeducation intervention within the mental health system: a multisite study using the consolidation framework for implementation research
Higgins, A., Murphy, R., Downes, C., Barry, J., Monahan, M., Hevey, D., Kroll, T., Doyle, L., & Gibbons, P. (2020) · Figshare · doi:10.6084/m9.figshare.13212743
Additional file 1 of Measuring implementation in global mental health: validation of a pragmatic implementation science measure in eastern Ukraine using an experimental vignette design
Haroz, E. E., Bolton, P. A., Nguyen, A. J., Lee, C., Bogdanov, S., Bass, J., Singh, N. S., Doty, B., & Murray, L. K. (2019) · Figshare · doi:10.6084/m9.figshare.8057678
Additional file 2 of Factors impacting the implementation of a psychoeducation intervention within the mental health system: a multisite study using the consolidation framework for implementation research
Higgins, A., Murphy, R., Downes, C., Barry, J., Monahan, M., Hevey, D., Kroll, T., Doyle, L., & Gibbons, P. (2020) · Figshare · doi:10.6084/m9.figshare.13212737
Additional file 1 of Factors impacting the implementation of a psychoeducation intervention within the mental health system: a multisite study using the consolidation framework for implementation research
Higgins, A., Murphy, R., Downes, C., Barry, J., Monahan, M., Hevey, D., Kroll, T., Doyle, L., & Gibbons, P. (2020) · Figshare · doi:10.6084/m9.figshare.13212734
Barriers to research utilization among North American drama therapists
Frydman, J. S., & Cook, A. (2026) · The Arts in Psychotherapy · doi:10.1016/j.aip.2026.102470
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Authors: Stirman, S. W., Gutner, C. A., Langdon, K., & Graham, J. R.
Affiliations: VA Palo Alto Health Care System (US)
Boston University (US)
Rhode Island Hospital (US)
Salem State University (US)
Corresponding author: Stirman, Shannon Wiltsey
ORCID: Stirman, Shannon Wiltsey
Gutner, Cassidy A.
Langdon, Kirsten
Graham, Jessica R.
Venue: Behavior Therapy
Publisher: Elsevier BV
Published: 2016-11
Volume: 47
Issue: 6
Pages: 920-936
ISSN: 0005-7894 (ISSN-L)
DOI: 10.1016/j.beth.2015.12.001
OpenAlex: W2211497785
Cited by: 103
References: 135
Citations by year: 2026: 9 · 2025: 10 · 2024: 8 · 2023: 7 · 2022: 12 · 2021: 7 · 2020: 21 · 2019: 17 · 2018: 5 · 2017: 3 · 2016: 4
FWCI: 0.72
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: Behavior Therapy (publishedVersion)
PubMed (publishedVersion)
Funders: National Institute of Mental Health (K23MH103396)
Topics: Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
Health Sciences › Health Professions › General Health Professions › Health Sciences Research and Education
Keywords: implementation research, implementation theory, research-practice gap, mental health services, Consolidated Framework for Implementation Research, EPIS framework, treatment implementation
MeSH terms: Humans, Mental Health Services, Psychotherapy, Evidence-Based Medicine, Information Dissemination, Translational Research, Biomedical

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Bridging the Gap Between Research and Practice in Mental Health Service Settings: An Overview of Developments in Implementation Theory and Research

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